Health Services Representative - San Jose, United States - The County of Santa Clara

The County of Santa Clara
The County of Santa Clara
Verified Company
San Jose, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Salary
- $60, $73,446.88 Annually
Location

  • San Jose Metropolitan Area, CA
    Job Type
  • Full-Time/Part-Time
    Job Number
  • 24D2E-A
    Department
  • Santa Clara Valley Medical Center
    Opening Date
  • 04/23/2024
    Closing Date
  • 5/7/2024 11:59 PM Pacific
    Bargaining Unit
  • 02
    Description:


Under general supervision to perform a combination of specialized clerical tasks that may involve client registration, scheduling and interviewing, telephone screening, medical insurance eligibility and account processing for clients to either a patient care area or agency program service site throughout Santa Clara Valley Health & Hospital System.


NOTE:

Applicants who meet the employment standards will be invited to take an online examination tentatively scheduled for the week of May 13, 2024.

**Learn more about Santa Clara Health System at:
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    Typical Tasks:
(Positions may perform any of the following tasks, depending on the area of assignment. No single position will encompass all the tasks listed, nor is the list below exhaustive.)

  • Interviews clients to obtain personal and financial data and to determine ability to pay for hospital and/or medical services or program eligibility;
  • May suggest alternative services, programs or additional insurance coverage available to clients for a variety of Federal, State, and County programs, including Medi-Cal, Medicare and special programs;
  • Prepares insurance billing forms including Medi-Care and Medi-Cal;
  • Prepares medical admission packets and medical record file setup including all required departmental forms, releases, and identifying labels;
  • Queries and inputs registration and billing information in the computer and reverts to manual system on stat admissions and/or computer down time;
  • Prepares necessary documents for emergency medical admissions;
  • Uses cardwriter/imprinter to prepare identification cards for billing purposes, issues receipts, and may use a variety of office equipment;
  • Answers telephones and responds to inquiries regarding emergency medical treatments;
  • Refers callers appropriately according to their needs; refers all medical information and advice calls to the telephone advice nurse or clinic RN and processes messages for providers/nursing staff as needed;
  • Assists clients with completion of forms and paperwork;
  • Maintains a back up log book of admissions;
  • Deals with law enforcement agencies and ambulance personnel regarding emergency admissions;
  • Notifies relatives of emergency ambulance admittance;
  • May follow through to obtain necessary information when client is unable to respond;
  • Arranges for transportation of patients via Taxi, Medicar, Hospital Transportation Service, Outreach or in emergency situations, with ambulance services;
  • May estimate cost of certain medical services, arrange payment plan, and collect payments for medical services rendered;
  • Schedules appointments for a variety of medical clinics, either by telephone or in person utilizing a computerized patient registration system;
  • Maintains appointment books for a variety of medical clinics;
  • Advises clients of specialty clinics, billing procedures and diagnostic procedures;
  • Telephones clients to remind them of future appointments;
  • Maintains and updates patient location;
  • Classifies and codes diagnoses on clients' charge documents to ensure reimbursement for medical services;
  • Classifies and codes a wide variety of diseases or medical condition according to the International Classification of Disease Standards;
  • Maintains files, indexes and manuals on International Classification of Diseases;
  • Posts medical statistics to daily log and compile reports on a regular basis;
  • Reviews charge documents for compliance with policies and regulations;
  • Prepares charge documents for batching and maintaining a log;
  • Researches raw data or computer output to correct errors in registration, admission or billing entries or statistics;
  • Assists in training and orienting new clerical and professional medical staff in the procedures of the unit;
  • Performs other related duties as required.

Employment Standards:

Demonstrated education, training and work experience in a medical services setting which has provided an opportunity to perform a variety of moderately difficult medical office clerical tasks and an opportunity to acquire the following:
Completion of a recognized medical assistant program can be substituted for six (6) months of the above work experience.


Knowledge of:


  • Basic office practices and procedures including reception, filing and the operation of standard office equipment;
  • General medical terminology;
  • Interviewing techniques;
  • Telephone courtesy;
  • Basic policies and procedures related to medical client services, for processing insurance claims and/or billing charges;
  • Modern office practices and procedures including basic computer skills;
  • Hospital admitting pra
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